Prevalence of swallowing difficulties and associated factors in older people with intellectual disabilities

被引：1

作者：

Sanders, Kim J. V. ^{[1
,2
,5
]}

Elbers, Roy G. ^{[1
]}

Bastiaanse, Luc P. ^{[1
]}

Echteld, Michael A. ^{[3
,4
]}

Evenhuis, Heleen M. ^{[1
]}

Festen, Dederieke A. M. ^{[1
,2
]}

机构：

[1] Univ Med Ctr Rotterdam, Dept Gen Practice, Intellectual Disabil Med, Erasmus MC, Rotterdam, Netherlands

[2] Ipse Bruggen, Zoetermeer, Netherlands

[3] Prisma Fdn, Waalwijk, Netherlands

[4] Avans Univ Appl Sci, End Life Care Res Grp, Tilburg, Netherlands

[5] Univ Med Ctr Rotterdam, Erasmus MC, Dept Gen Practice, Intellectual Disabil Med, POB 2040, NL-3000 CA Rotterdam, Netherlands

来源：

JOURNAL OF APPLIED RESEARCH IN INTELLECTUAL DISABILITIES | 2024年 / 37卷 / 03期

关键词：

association; dysphagia disorder survey; intellectual disability; older people; prevalence; swallowing difficulties; OROPHARYNGEAL DYSPHAGIA; RISK-FACTORS; FRAILTY; ADULTS;

D O I：

10.1111/jar.13209

中图分类号：

G44 [教育心理学];

学科分类号：

0402 ; 040202 ;

摘要：

BackgroundWe investigated the prevalence of swallowing difficulties and associated factors in people with intellectual disability.MethodsWe included people aged 50+ receiving care for people with intellectual disabilities. The Dysphagia Disorder Survey (DDS) was used to assess swallowing difficulties. We determined the agreement between the DDS and swallowing difficulties in medical records. We used logistic regression analyses to explore associated factors.ResultsOne thousand and fifty people were included. The prevalence of swallowing difficulties was 43.8%. Swallowing difficulties were not reported in the medical records of 83.3% of these cases. Frailty (odds ratio (OR) = 4.22, 95% CI = 2.05-8.71), mobility impairment (OR = 2.50, 95% CI = 1.01-6.19), and mealtime dependency (OR = 3.05, 95% CI = 1.10-8.47) were independently associated with swallowing difficulties.ConclusionSwallowing difficulties are prevalent in older people with intellectual disability but may be under-recognised. Frailty may be a good indicator for population-based screening for swallowing difficulties.

引用

页数：9

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